Active NPI
Arva Danielle Rackley
- Other Specialist/Technologist
- Berkeley, CA
National Provider Identifier
1174477574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- L9940
- Practice address
- 1518 San Pablo Ave
Suite 31
Berkeley, CA 94702 - Phone
- (510) 500-5169
- NPI assigned
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | L9940 | CA | Primary |
Addresses
Primary practice location
1518 San Pablo Ave
Suite 31
Berkeley, CA 94702
Mailing address
PO Box 2465
Berkeley, CA 94702-0465
Phone (510) 500-5169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9940 | CA | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermasmooth Electrolysis Studio LLC | Specialist/Technologist, Other | Current | Accepting new patients |
Locations
1518 San Pablo Ave
Ste 31
Berkeley, CA 94702
Phone (510) 500-5169
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Other Specialist/Technologist
- Berkeley, CA
- NPI 1346194271
Specialist/Technologist, Other
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1174477574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2465",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947020465",
"telephone_number": "510-500-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 SAN PABLO AVE",
"address_2": "SUITE 31",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94702",
"telephone_number": "510-500-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKLEY",
"first_name": "ARVA",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "CA",
"license": "L9940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.